Abstract
Purpose
Acidity can be a useful alternative biomarker for the targeting of metabolically active cells in certain diseased tissues, as in acute inflammation or aggressive tumors. We investigated the targeting of activated macrophages by pH low insertion peptides (pHLIPs), an established technology for targeting cell-surface acidity.
Procedures
The uptake of fluorescent pHLIPs by activated macrophages was studied in cell cultures, in a mouse model of lung inflammation, and in a mouse tumor model. Fluorescence microscopy, whole-body and organ imaging, immunohistochemistry, and FACS analysis were employed.
Results
We find that cultured, activated macrophages readily internalize pHLIPs. The uptake is higher in glycolytic macrophages activated by LPS and INF-γ compared to macrophages activated by IL-4/IL-13. Fluorescent pHLIPs target LPS-induced lung inflammation in mice. In addition to marking cancer cells within the tumor microenvironment, fluorescent pHLIPs target CD45+, CD11b+, F4/80+, and CD206+ tumor-associated macrophages with no significant targeting of other immune cells. Also, fluorescent pHLIPs target CD206-positive cells found in the inguinal lymph nodes of animals inoculated with breast cancer cells in mammary fat pads.
Conclusions
pHLIP peptides sense low cell surface pH, which triggers their insertion into the cell membrane. Unlike cancerous cells, activated macrophages do not retain inserted pHLIPs on their surfaces, instead their highly active membrane recycling moves the pHLIPs into endosomes. Targeting activated macrophages in diseased tissues may enable clinical visualization and therapeutic opportunities.
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Acknowledgements
The authors are grateful for the support of Stefania Andreev for making graphics for Fig. 6, and Dr. Dhammika Weerakkody for support and maintenance of the laboratory at URI.
Funding
This work was supported by NIH grant R01 GM073857 (Y.K.R., O.A.A., and D.M.E.). Members of the URI Institutional Development Award (IDeA) Network for Biomedical Research Excellence received a support from NIH P20 GM103430.
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O.A.A. and Y.K.R. designed research; H.V., M.D., A.M., and T.C. performed research; H.V., M.D., A.M., T.C., and Y.R. analyzed data; and D.M.E., O.A.A., and Y.K.R. wrote the paper. All authors read, provided feedback on, and approved the manuscript for publication. H.V. and M.D. equally contributed to the work.
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D.M.E., O.A.A., and Y.K.R. are founders of pHLIP, Inc., and they have shares in the company. pHLIP, Inc provided funding for the manufacturing of pHLIP ICG, the FACS analysis performed at the Charles River Discovery Labs, and the in vivo portion of the study for targeting of inflamed lungs in mice performed at Melior Discovery.
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Visca, H., DuPont, M., Moshnikova, A. et al. pHLIP Peptides Target Acidity in Activated Macrophages. Mol Imaging Biol 24, 874–885 (2022). https://doi.org/10.1007/s11307-022-01737-x
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DOI: https://doi.org/10.1007/s11307-022-01737-x